US5649931A - Orthopaedic apparatus for driving and/or removing a bone screw - Google Patents
Orthopaedic apparatus for driving and/or removing a bone screw Download PDFInfo
- Publication number
- US5649931A US5649931A US08/586,103 US58610396A US5649931A US 5649931 A US5649931 A US 5649931A US 58610396 A US58610396 A US 58610396A US 5649931 A US5649931 A US 5649931A
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- United States
- Prior art keywords
- shaft
- open end
- enlarged head
- orthopaedic apparatus
- distal end
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- Expired - Lifetime
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8886—Screwdrivers, spanners or wrenches holding the screw head
- A61B17/8891—Screwdrivers, spanners or wrenches holding the screw head at its periphery
Definitions
- the present invention relates to orthopaedic apparatus for driving and/or removing an orthopaedic screw, and, more particularly, to such orthopaedic apparatus which engage an enlarged head of a bone screw.
- Elongated fixation members used in orthopaedic applications such as bone screws or pins
- bone screws or pins are typically used to fixate or stabilize a portion of a fractured bone relative to another portion of the bone.
- Known orthopaedic apparatus used to drive and/or remove bone screws or pins engage an end of the bone screw or pin in various ways.
- some orthopaedic apparatus used to drive bone screws apply an axial force to the end of the bone screw.
- Illustrative of such apparatus are those disclosed by U.S. Pat. Nos. 4,901,712 (Voegell et al.), 4,423,721 (Otte et al.), and 5,354,292 (Braeuer et al.).
- orthopaedic apparatus used to drive or remove bone screws apply a radial or sideways force to the end of the bone screw.
- Illustrative of such apparatus are those disclosed by U.S. Pat. Nos. 4,140,111 (Morrill), 5,139,499 (Small et al.), 4,389,913 (Drouin et al.), and 4,911,154 (Vickers).
- the present invention provides an orthopaedic apparatus which applies both a radial and axial force to the enlarged head of a bone screw or pin, and thereby effectively locks the bone screw or pin relative to the orthopaedic apparatus.
- the invention comprises, in one form thereof, an orthopaedic apparatus for at least one of removing and driving an elongated fixation member having an enlarged head.
- the orthopaedic apparatus includes a hollow, elongated body having an open end for receiving the enlarged head therein.
- the body further has a deflectable portion at the open end.
- a shaft is disposed within the body, and has a distal end disposed substantially adjacent to the body open end.
- the distal end has an exterior configuration which is adapted to mate with the enlarged head.
- the deflectable portion is configured to impart a radially inward force around the enlarged head and the shaft is configured to impart an axial compression force on the enlarged head, thereby locking the elongated fixation member relative to the orthopaedic apparatus.
- An advantage of the present invention is that a bone screw having a stripped-out head can be reliably removed from a bone.
- FIG. 1 is a side view of an embodiment of an orthopaedic apparatus of the present invention used to drive and/or remove a bone screw or pin;
- FIG. 2 is an end view of the orthopaedic apparatus shown in FIG. 1, as viewed from the left of FIG. 1;
- FIG. 3 is an end view of the orthopaedic apparatus shown in FIG. 1, as viewed from the right of FIG. 1;
- FIG. 4 is a side, sectional view of the orthopaedic apparatus shown in FIGS. 1-3, with a bone screw positioned near the open end of the apparatus;
- FIG. 5 is an enlarged side, sectional view of the orthopaedic apparatus shown in FIGS. 1-4, with a bone screw positioned within the open end of the apparatus;
- FIG. 6 is an enlarged, fragmentary view of the distal end of the shaft of the orthopaedic apparatus shown in FIGS. 4 and 5.
- Bone screw 12 may be used, e.g., to attach or stabilize one portion of a fractured bone to another portion, or to attach another device, such as a bone plate (not shown) to a bone.
- Bone screw 12 includes an enlarged head 22 at one end thereof having a recess 24 adapted for receiving a tool, such as a portion of orthopaedic apparatus 10, therein.
- Recess 24, in the embodiment shown, has a hexagonal shape allowing the head of a hexagonal-shaped driver bit to be inserted therein.
- Enlarged head 22 may extend above the surface of the bone, and it is sometimes necessary to remove bone screw 12 from the bone by inserting the hexagonal driver bit into recess 24 of enlarged head 22. However, it is not uncommon for recess 24 to become stripped-out, whereby a conventional hexagonal-shaped driver bit is not by itself effective in removing bone screw 12 from the bone.
- Orthopaedic apparatus 10 allows a bone screw 12 having a stripped-out enlarged head 22 to be removed from a bone.
- Orthopaedic apparatus 10 generally includes a body 14, shaft 16 (FIGS. 4 and 5), sleeve 18 and thumb screw 20.
- Body 14 in the embodiment shown, is in the form of a hollow, elongated body having an open end 26 for receiving enlarged head 22 of bone screw 12 therein.
- Body 14 further has a deflectable portion 28 (FIG. 1) which may be deflected in a radially inward direction to provide a radially inward gripping force around enlarged head 22 of bone screw 12.
- deflectable portion 28 includes a plurality of collet fingers 30 which are normally in the position shown in FIG. 4 when in a non-deflected position.
- Body 14 also includes a turn wheel 32 which provides increased rotational leverage for mining body 14.
- Shaft 16 is disposed within body 14, and has a distal end 34 which is disposed substantially adjacent to open end 26 of body 14.
- Distal end 34 has an exterior configuration (FIGS. 3, 5, and 6) which is adapted to mate with recess 24 of enlarged head 22. More particularly, distal end 34 has a hexagonal exterior configuration which is adapted to be received within recess 24 and thereby engage bone screw 12.
- distal end 34 and recess 24 can be formed with other respective exterior and interior configurations which mate with each other.
- Sleeve 18 is disposed about a portion of body 14, and is engaged with and movable in a longitudinal direction relative to body 14. More particularly, sleeve 18 includes internal threads 36 which are matingly engaged with exterior threads 38 formed on body 14. Rotation of sleeve 18 therefore causes movement of sleeve 18 in a longitudinal direction relative to body 14. Sleeve 18 may also include a chamfered surface 40 which approximately corresponds to the outwardly tapered exterior shape of collet fingers 30, as shown in FIG. 5. Sleeve 18 is configured to impart a radially inward force to collet fingers 30 when moved in a longitudinal direction toward open end 26.
- Thumb screw 20 includes exterior threads 42 which engage interior threads 44 of turn wheel 32. Thumb screw 20 may be configured with a hexagonal shape, as shown in FIGS. 1 and 2, such that a wrench or the like can be engaged therewith and used to rotate thumb screw 20.
- Thumb screw 20 also includes a shoulder 46 which is used to impart an axial compression force on an end face 48 of shaft 16. This axial compression mode is in turn transmitted to distal end 34, which applies an axial compression load to enlarged head 22 of bone screw 12.
- a smaller diameter portion 50 extends from shaft 16 and through a central opening 52 formed in thumb screw 20. Prior to tightening thumb screw 20 against shaft 16, smaller diameter extending portion 50 allows shaft 16 to be manually rotated (as indicated by arrow 54) and manually longitudinally extended (as indicated by arrow 55) for alignment of distal end 34 with recess 24 in enlarged head 22 (FIG. 5).
- distal end 34 has a hexagonal exterior configuration which is slightly tapered in a direction extending therefrom. Such a taper allows the respective edges thereof, such as indicated generally at 56, to in essence form cutting edges to cut into the periphery of a potentially stripped-out recess 24. The angle of the taper and length of cut are therefore preferably selected such that new edges may be cut into recess 24 if necessary.
- distal end 34 has a taper of approximately between 10° to 15° relative to the longitudinal axis of shaft 16, as indicated by the angle ⁇ in FIG. 6.
- the tapered end 34 is inserted into a non-tapered recess and is dimensioned to create an interference engagement with recess 24, thus cutting the new edges.
- thumb screw 20 and sleeve 18 are both screwed toward an end of orthopaedic apparatus 10 which is opposite to open end 26 or screwed away from open end 26.
- This allows collet fingers 30 to move to the position shown in FIG. 4, and relieves any axial compression loading applied to shaft 16.
- Collet fingers 30 are spaced such that enlarged head 22 may be received therebetween.
- bone screw 12 is placed into collet fingers 30 of body 14, and smaller diameter portion 50 of shaft 16 is manually rotated and longitudinally extended to position hexagonal distal end 34 into recess 24 of enlarged head 22.
- Sleeve 18 is then rotated and thereby moved in a longitudinal direction toward open end 26 to bias collet fingers 30 radially inward around enlarged head 22, as shown in FIG. 5.
- shaft 16 can be inserted into recess 24 after sleeve 18 is rotated toward open end 26 to bias collet fingers 30 around head 22.
- thumb screw 20 With hexagonal distal end 34 in place within enlarged head 22, thumb screw 20 is then tightened to engage shoulder 46 thereof against end face 48 of shaft 16.
- a wrench may be applied to thumb screw 20 for application of additional axial loading to end face 48. This axial loading is transferred to hexagonal distal end 34, and in turn to enlarged head 22 of bone screw 12.
- apparatus 10 may be utilized to remove or insert a bone screw or pin through a cannula (not shown) or a small incision.
- the apparatus 10 may preferably be made from stainless steel, although any suitable materials may be utilized.
Abstract
Description
Claims (10)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US08/586,103 US5649931A (en) | 1996-01-16 | 1996-01-16 | Orthopaedic apparatus for driving and/or removing a bone screw |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/586,103 US5649931A (en) | 1996-01-16 | 1996-01-16 | Orthopaedic apparatus for driving and/or removing a bone screw |
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US5649931A true US5649931A (en) | 1997-07-22 |
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US08/586,103 Expired - Lifetime US5649931A (en) | 1996-01-16 | 1996-01-16 | Orthopaedic apparatus for driving and/or removing a bone screw |
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